Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $103.83 / $1,400.00	Facility		$103.83	$103.83	$1,400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $117.94 / $128.49	Facility		$107.52	$117.94	$128.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00